Leadership Styles and Workplace Culture in Healthcare

This thesis discusses the importance of effective leadership in healthcare for patient safety and recovery. It covers the role of workplace culture and no blame culture in improving patient safety, and the characteristics of democratic and transformational leadership styles. The evaluation of leadership styles to introduce no blame culture is also discussed.

PROJECT

TABLE OF CONTENTS
INTRODUCTION...........................................................................................................................3
MAIN BODY...................................................................................................................................3
Workplace culture and no blame culture for improving the patient safety.................................3
Leadership styles to achieve the health care goals......................................................................3
CONCLUSION................................................................................................................................4
REFERENCES................................................................................................................................5

INTRODUCTION
Health-care department must required a effective leadership to face or control the
changes. Leadership in health care plays a crucial role in terms of patient's safety. leadership is
very important to bring the revolution in work place. Effective leadership is able to change the
work culture also promotes the good changes for the patient's safety measure. This thesis include
description about is leadership is effective, how a effective nursing leadership can play a
essential role to drive change and to achieve the goals.
MAIN BODY
Workplace culture and no blame culture for improving the patient safety
Workplace culture defines the different cultural beliefs, shared information, philosophies
and experiences that people shared in their workplace (Giddens, (2018)). Workplace culture
includes better leadership, better services to the people. In health care their workplace culture
plays an important role in the treatment of their patients. No blame culture has main objective to
improve the quality of treatment given to the patient. Through which healthcare staffs can learn
from their mistakes and take all the safety measure to not repeat mistakes again or to improve
their treatment services given to the patient.
There is a one incident in which cleaner switch off the ventilation machine and puts the plug of
vacuum machine for cleaning which is the big mistake therefore healthcare department must
required a effective leadership for the care of the patient so that no mistake can be occur.
Leadership styles to achieve the health care goals
Leadership style plays an important role to achieve the goals of health care. Nurses can
be a good leader as they manage the whole treatment process of the patient their support to their
colleagues can improve the environment of their workplace which helps them to develop
understanding with the patient so that they can recover better (Alharbi, 2017).
Characteristics of democratic and transformational leadership style:
Main characteristic of democratic leadership that it include each and every one's opinion.
It gives motivation to the member they feel more engaged towards their work. Transformational
leadership characteristics are it gives leader to take right risk for them, also leader in this
leadership sides their ego and promote their members to move according to the vision and allow
them to make innovation and changes in their services (Echevarria, Patterson, Krouse, (2017)).

Leadership is a fundamental skills in health care department because of this nurses and staffs are
able to give better treatment to their patients. As leader can manage the whole work otherwise it
will create a problem for them.
Democratic leadership style:
Democratic leadership also known as participative leadership in which maximum number
of people can contribute in decision-making process. Democratic leadership in healthcare can be
defined as leader allows nurses and staffs to contribute in decision-making process.
Characteristics of democratic leadership can improve the workplace culture as leader involves
equal contribution of their staff which gives wide range of information which helps in decision-
making process (Chatterjee and et.al (2018)). This leadership also helps in communication
process in health care as it include equal participation of their staff. . Staff and nurses give their
opinions in decision-making process which boost their morale that ultimately improve their
communication process. Democratic leader motivates their staff and also allows them to share
information. Information shared from different staff can improve the final result. Nurse can be a
good leader because they have the responsibility to provide the better treatment to their
employee. For example if nurse does not support their team member then team does not response
as they have no guidance which has to be followed which can also give life threat to their patient.
Therefore, good leadership in the health care must needed for the fast recovery of patient
(McCay, Lyles & Larkey, (2018)).
Transformational leadership style:
Transformational leadership style define as leader encourage their staff to make
innovation and changes in their services for the betterment. This type of leadership explain about
the attributes and behaviour of leader. It helps the leader to improve the culture so that patient
can recover fast (Woo, & Avery, (2021)). Characteristics of transformational leadership is that it
gives the ability to take critical decisions, self management, include new ideas fast adaptability.
In health care system transformational leadership can be seen as to improve the culture for their
patients. It allows them to make changes so that patient can recover fast. It helps the leader to
solve all the problem if there will be no coordination among the staff then it will be difficult for
the treatment of the patient. This leadership allows implementing changes if the cultural
background of the nurse and patient are different, then it will be difficult to both of them and

treatment procedure can't be processed. Therefore, leader need to resolve this issue to provide
treatment to the safety of the patient. This leadership allows the leader to communicate their
vision and aim to their staff through which they get motivated and started their work effectively.
.
The issues and consequences can health care face as poor services for the patients. If patient
suffer from the chronic disease and if they don't have resources to treat that disease can cause the
life threat to the patient. If nurses and doctors does not show their support to the patient then it
will be difficult for the patient to recover. Therefore, effective leadership in the nursing must
needed (Ferreira and et.al (2020)).
Evaluation of leadership styles to introduce no blame culture:
Implementation of above discussed leadership theories will enable to evaluate for
maintaining communication and workplace culture in healthcare services. Democratic leaders
inspire staff nurses to openly interact and contribute to decision-making. Democratic leadership
goal to modify methods and procedure, rather than blame individual team members for faults. It
helps in holding good communication with staffs as well as their patients to make them
comfortable (Murray, Sundin, & Cope, (2018)). For example, various equipments are used by
nurses and midwives to provide safe and healthy services to their patients to build more
customers at their workplace.
With democratic leadership, nevertheless, the decision-making procedure is slow due to
rise in involvement of all team members (Perez, (2021)) In few cases, the engagement may make
anxiety for faculty who has little experience, while allowing much knowledgeable staffs to have
dis-appropriate power in decision-making (Ross, Exposito & Kennedy, (2020). Democratic
leaders may be top-grade suitable for situations where new relationships are being reinforced
between leadership and a unit. For example, in healthcare, when a method or procedure
betterment is imperative, a democratic leader may step in to direct a group of allotted staff to
determine modification to a policy or guidance. Among these, various are systematically
detected including, emotional ability, effectual interpersonal communication, mutually respectful
behaviour and teamwork etc. By having this leadership quality in an administration or
community can show that leadership styles are as diverse as the leaders who utilize them

(Carvalho, and et.al (2017)). )). However, nurses can evolve the skills more by grasping each
day challenges in their present roles.
Also, It allows for much efficient problem-solving with more minds running on a trouble,
the amount of potential answers increases. Democratic leadership makes a workplace where
people interact, opinions flow, and discussions are had for powerful team relationships. Frequent
interaction with colleagues-especially around contents that have straightforward effect on the life
or staff (Ashurst, (2017)).
Democratic leadership makes nurses feel higher than they would be otherwise. At the
workplaces they feel valued, and where their efforts are intelligibly respected and often times
taken on board, team members are probable to feel more gratification (Okpala, P. (2018)). On the
other hand, transformational leadership also assist in maintaining healthy surroundings in
healthcare services(Chikeleze & Baehrend, (2017))
Transformational leadership creates an environment where staff have a greater loyalty to
their workplace and high levels of team spirit, job gratification and work actions. A(opting
transformational leadership increase staff satisfactions, which in turn may have an essential.
Soutcome on reduction of the rate of patient care faults (Mills, and et.al 2019). Therefore, the
leadership form is also connected with employee retention. Furthermore, midwives also effort
the leadership activities in their day-to-day activity, although they may not realize it. Theses
include prioritizing attention needs, advocating women's choices and presenting intra and non-
professional job to insure endless betterment in care standards. . One of the high-grade usage of
this leadership kind is for organization that have aim such as, having magnet-designation or
reduction in patient re-admittance rates and want to alter and adapt to acquire there. They
articulate a sight that is catchy and inspiring to followers.The visionary features of leadership are
supported by communication skills (Cope & Murray, (2017)).

CONCLUSION
From the above discussion it is concluded that the leadership styles played an crucial role
in health care department. Implementation of these leadership helps the nurses to manage their
work area to gave command to their staff for the better services given to the patient for their
good recovery. Leadership style posses different activities through which all the health care
objectives can be achieved.

RE(ERENCES)
Books and Journals
Alharbi, A.Y., 2017. Leadership styles of nurse managers and their effects on nurse and
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Ashurst, A. (2017). Creating a workplace culture of learning and development. Nursing And
Residential Care. 19(8). 474-475.
Carvalho, R. E. F. L. D., and et.al (2017). Assessment of the culture of safety in public hospitals
in Brazil1. Revista latino-americana de enfermagem. 25.
Chatterjee, R. and et.al (2018). Literature review on leadership in healthcare
management. Journal of social science studies. 5(1). 38-47.
Chikeleze, M. C., & Baehrend Jr, W. R. (2017). Ethical leadership style and its impact on
decision‐making. Journal of leadership studies. 11(2). 45-47.
Cope, V., & Murray, M. (2017). Leadership styles in nursing. Nursing Standard. 31(43).
Echevarria, I. M., Patterson, B. J., & Krouse, A. (2017). Predictors of transformational
leadership of nurse managers. Journal of nursing management. 25(3). 167-175.
Ferreira, V. B. and et.al (2020). Transformational leadership in nursing practice: challenges and
strategies. Revista Brasileira de Enfermagem. 73.
Giddens, J. (2018). Transformational leadership: What every nursing dean should know. Journal
of Professional Nursing. 34(2). 117-121.
McCay, R., Lyles, A. A., & Larkey, L. (2018). Nurse leadership style, nurse satisfaction, and
patient satisfaction: a systematic review. Journal of nursing care quality. 33(4). 361-367.
Mills, C.B., and et.al 2019. No laughing matter: Workplace bullying, humor orientation, and
leadership styles. Workplace health & safety. 67(4). pp. 159-167.
Murray, M., Sundin, D., & Cope, V. (2018). The nexus of nursing leadership and a culture of
safer patient care. Journal of clinical nursing. 27(5-6). 1287-1293.
Okpala, P. (2018). Nurses’ perspectives on the impact of management approaches on the blame
culture in health-care organizations. International Journal of Healthcare Management.
Perez, J. (2021). Leadership in Healthcare: Transitioning From Clinical Professional to
Healthcare Leader. Journal of Healthcare Management. 66(4). 280-302.
Ross, D. B., Exposito, J. A., & Kennedy, T. (2020). Stress and its relationship to leadership and a
healthy workplace culture. In Occupational Stress: Breakthroughs in Research and
Practice (pp. 161-193). IGI Global.

Woo, M. W. J., & Avery, M. J. (2021). Nurses’ experiences in voluntary error reporting: An
integrative literature review. International Journal of Nursing Sciences.